Gorovitz & Borten, P.C.
Attorneys at Law

550 Cochituate Road, Suite 25
Framingham, Massachusetts
Tel: (781) 890-9095
Esophageal Intubation
Emergency airway management can be fraught with complications related to
hemodynamic alterations and airway related complications. Failed or misplaced
intubations are some of the most commonly encountered complications of
endotracheal intubation. Incorrect placement of the endotracheal tube may result
in esophageal or bronchial intubations, which must be recognized and corrected

Misplaced intubations are more commonly encountered in patients who are
assessed to have a difficult airway due to anatomical variations. The critically ill
patient is poised to suffer potentially catastrophic consequences of tracheal
intubation based on the underlying acute pathologic conditions that had prompted
their need for assisted oxygenation and ventilation.

Esophageal intubation, and more specifically, the lack of its recognition, has been
identified as a leading adverse respiratory event and is an important contributing
factor in the occurrence of hypoxemia, regurgitation and aspiration, severe central
neurologic damage, and death.

The incidence of esophageal intubation varies by different reports but is
commonly accepted to be in the 2% to 9% range in the emergency setting. Failure
to recognize Esophageal Intubation is not limited to inexperienced trainees, and
despite the use of verification devices, Esophageal Intubation -related
catastrophes persist.

Auscultation of breath sounds, tube condensation, chest wall excursions, reservoir
bag compliance and refilling, as well as many other methods of detecting tracheal
tube placement are not infallible; each has shortcomings and difficulty with
interpretation under normal circumstances. Their usefulness is reduced further
under emergent or urgent circumstances.

The use of monitors and the performance of verification maneuvers do not reduce
the incidence of Esophageal Intubation, but they may foreshorten the time
between misplacement of an Endotracheal tube placement and its detection and
correction by repositioning the endotracheal tube.

Esophageal perforation is a rarely reported complication of endotracheal
intubation that occurs during unintentional esophageal intubation. Esophageal
injuries that occur secondary to endotracheal intubation are usually located in the
cervical esophagus. Gastric Perforation has also been reported as a complication
of inadvertent esophageal intubation.

Esophageal intubation that cause injury may give rise to a medical malpractice
cause of action. If as a result of a physician's or nurse's error your condition
worsened or you have been unexpectedly injured, you deserve legal
representation. If you are suffering from complications due to an esophageal
intubation, let
Dr. Borten an experienced trial attorney and also a physician with
35 years of experience fully evaluate the merits of your potential case and the
Boston area medical malpractice attorneys at Gorovitz & Borten review the
specifics of your case. We can help you assert your rights and get the
compensation you deserve.
Contact Information
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possible), please contact us by phone, fax or e-mail with your question or concern.

Telephone:  781-890-9095     -     Fax:   781-890-9098
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